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VBS Liability Waiver Form

The Liability Waiver Form may be viewed and printed here.

The text of this waiver is shown below for convenience:

Church of the Palms United Methodist

VBS Liability Waiver 2014

As the parent or legal guardian of _______________________________ (print name of child), I hereby give permission for my child to participate in the Church of the Palms VBS Program. I understand that Church of the Palms UM is a nonprofit charitable institution, which is voluntarily presenting this program for my child, other participants, and the community. I also understand that the program has activities that can involve physical contact with other participants, the ground or equipment, and that there is a resulting risk of physical injury to my child.

I have explained these risks and benefits of participating in this program to my child and my child is in proper physical condition and has no existing injuries or conditions that could jeopardize his/her safety or health, or the safety or health of the other participants.

I therefore release and discharge all liability for any harm or injury suffered directly or indirectly as a result of my child's participation in the Church of the Palms UM VBS Program, whether or not resulting from negligence, and I agree not to sue Church of the Palms UM, its representatives, staff, or volunteers on any such claim. I also give permission for the staff, representative, or volunteers of Church of the Palms UM to administer first aid or to seek medical care for my child during my child's participation in the program, including transportation of my child to a medical facility for additional treatment that appears necessary.

Print name of Parent/Guardian: __________________________

Signature of Parent/Guardian: ___________________________

Date: _____

 

Christmas Eve Worship

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Carol Sing at 6:30 p.m.
Holy Communion
Candle Lighting
Special Music
(Nursery Care Available)

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